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肾病综合征是以大量蛋白尿(>3.5g/24h),低蛋白血症(血浆白蛋白<30g/d),水肿和高脂血症为临床特征,可由不同病理类型的肾小球疾病引起的一组综合征,仍是当今肾脏内科难治疾病之一。一直以来,西医依据糖皮质激素的抗炎症反应,减少蛋白尿及利尿作用,有效提高了肾病综合征的临床缓解率。但针对其治疗过程中出现的激素依赖,反跳及副作用大等却难以克服。导师根据多年临床经验,在激素应用的不同阶段,配以中医药辨证论治,有效的减少了激素依赖,反跳及副作用,降低复发率,大大巩固了激素的治疗效果,现将经验总结如下。
Nephrotic syndrome is characterized by massive proteinuria (> 3.5g / 24h), hypoalbuminemia (serum albumin <30g / d), edema and hyperlipidemia, which can be caused by glomerular diseases of different pathological types A group of syndromes, is still one of the refractory diseases of renal medicine today. All along, Western medicine based on glucocorticoid anti-inflammatory response, reduce proteinuria and diuretic effect, effectively improve the clinical response rate of nephrotic syndrome. But for the treatment of hormone dependence, rebound and side effects and so difficult to overcome. Based on years of clinical experience, the tutor, at different stages of hormone application, coupled with TCM syndrome differentiation and treatment, effectively reduces hormone dependence, rebound and side effects, reduces the recurrence rate and greatly strengthens the treatment effect of hormones. The experience is summarized as follows.